Information Posters Research Articles

Reconditioning For Discharge; An OT-Led Initiative

Abstract Background Deconditioning is the loss of functional ability in frail older adults (BGS, 2017). Many initiatives such as #EndPJParalysis address the importance of preventing functional decline in acute settings. Occupational therapists (OTs) are best equipped to lead these initiatives due to the holistic nature of the profession. This initiative aimed to complete an educational campaign among staff, patients and families about the importance of preventing deconditioning. Audit approval was granted by hospital Clinical Audit Committee. Methods An observational audit of patient presentation at ward level was completed. Data was gathered on clothing and sitting out status as a baseline measurement. A PR and staff education campaign was instigated. Information leaflets and posters for patients, families and staff were distributed. A re-audit was completed after 1 month. Results Patients in their own clothing/pyjamas increased by 8%. Patients sitting out of bed increased by 11%. Informal positive feedback from patients, families and staff suggested a cultural shift on the ward with regards to promoting patients independence. Conclusion Improvements post initiative were noted, however, a longer duration of the initiative would be beneficial to further promote reconditioning. OTs’ comprehensive approach is best placed to champion this reconditioning initiative. Further roll out of the campaign throughout the hospital may be of benefit. There is a wealth of educational/PR resources available for same. Reference British Geriatrics Society (2017) Deconditioning awareness, British Geriatrics Society. Available at: https://www.bgs.org.uk/resources/deconditioning-awareness (Accessed: 19 April 2024).

Fourth COVID anniversary: does our practice have changed? The case of ENT outpatient consultations in Cameroon — a national cross-sectional survey

BackgroundIn Cameroon, the COVID-19 disease has demonstrated shortcomings in preventing nosocomial infections at both collective and individual levels. This study aimed to identify practice changes in ENT outpatient consultations in Cameroon inducted by the COVID-19 pandemic.MethodsThis was a descriptive cross-sectional study that took place in March 2024. A Google Form was submitted to ENT practitioners online across Cameroon. It consisted of 20 questions grouped into socio-professional and clinical data.ResultsSixty-four practitioners responded to the questionnaire. The average age of respondents was 36, with extremes of 31 and 70. The sex ratio was 0.35 in favor of women. In terms of experience, 47.7% had been practicing for less than 10 years. A total of 91.3% practiced in public health facilities. Before the COVID-19 outbreak, attitudes towards respiratory diseases were as follows: wearing of masks by suspected patients (4.3%), information posters in waiting rooms (13%), constant use of disinfectant gel (26.1%), wearing of masks by practitioners (0%), wearing of gloves (54.5%), wearing of gowns (87%), constant hand hygiene after each consultation (26.1%), and regular surface hygiene (30.4%). All precautions were improved after 4 years of the pandemic except wearing eye protection.ConclusionENT practice has been strongly impacted by the COVID-19 pandemic, and many measures still need to be taken to improve infection control in hospitals in Cameroon.

ThP6.13 - A closed loop clinical audit on adherence of weight-based and renal function-adjusted venous thromboprophylaxis prescribing to local guidelines in emergency general surgical patients

Abstract Aims to audit adherence of venous thromboembolism (VTE) prophylaxis according to local trust guidelines in a single-centre emergency general surgery department, adjusting doses based on weight and renal function (creatinine clearance). Following initial audit of practice, intervention to improve local practice was implemented with informative posters and teaching sessions, aiming to improve overall adherence to guidelines and limit risk of complications from incorrect dosing. Methods A two-cycle snapshot audit of VTE prophylaxis prescribing was conducted in a district general hospital emergency general surgery department against local guidelines concerning VTE prophylaxis. All current inpatients admitted under general surgery were included in the study reviewing baseline characteristics including age, weight, and creatinine clearance. Results The first cycle audited the adherence of departmental practice against guidelines in 57 inpatients. 49 (86.0%) were prescribed VTE prophylaxis in accordance with local guidelines. Of the 8 patients who did not adhere to guidelines, 5 (62.5%) had no VTE prophylaxis prescribed, while 3 (37.5%) had incorrect doses prescribed for their weight or renal function. The second cycle audited 43 inpatients. 39 (90.7%) adhered to guidelines. All re-audited patients had the correct VTE prophylaxis prescribed, although there was no VTE prophylaxis prescribed in 4 (9.3%) patients. There were no bleeding or thromboembolic complication in any patients over the course of admission in both cycles of this audit. Conclusion Adherence to local guidelines concerning VTE prophylaxis was increased following intervention. This eliminated VTE prophylaxis prescribing errors, although did not improve the amount of VTE prophylaxis prescription omissions.

The Health Education on Adolescent Reproductive Health Through a Festival Competition for Indonesia's Independence Day Celebration

In 2030, Indonesia is projected to experience a 37% increase in the number of HIV-positive patients, marking an addition of approximately 13,576 cases over 11 years. East Java, particularly among the 25-49 age group, predominantly males, stands out with the highest HIV prevalence. Factors such as inadequate knowledge among adolescents about reproductive health, exposure to pornography, and parental disempowerment contribute to risky sexual behaviors. The Activity aims to enhance adolescent reproductive health awareness, reduce HIV/AIDS cases, and supports preventative efforts at SMPN 15 Surabaya, Kenjeran, Surabaya. The community service activities encompass smart quiz seminars, educational role-playing, and informational posters. A questionnaire with 15 questions serves as metric for the success of the outreach. To analyze the methods' outcomes and effectiveness Descriptive and inferential statistics are applied. The community service initiatives successfully garnered participation from 108 students out of a total of 900 at SMPN 15 Surabaya. The seminar quiz activity with ρ-value ≤ 0.05 significantly increased students' knowledge by 14%, while role-playing and poster competitions showed no significance. Hence the festival has positively contributed to students' knowledge enhancement, particularly through the smart quiz seminar.

Layout Generation: Automated Components Placement for Advertising Poster using Transformer-Based from Layout Graph

In the digital era, graphic design plays an important role in a company's marketing strategy, especially advertising posters that can convey messages to the audience. However, the process of making attractive and informative posters takes a long time, especially in the placement of components in the layout. This research aims to develop a layout generator system that focuses on placing components on the layout using the SGTransformer method. SGTransformer is one of the transformer-based methods that can be used to generate layouts. This research utilizes the capabilities of Laplacian positional encoding (LapPE) and edge features in SGTransformer that can improve the model's performance in developing a more structured layout based on the input layout graph. A layout graph describes the spatial relationship between components in a layout. The SGTransformer model is trained using advertising poster datasets collected from social media. Once trained, the model automatically places components based on the description of the spatial relationship between components represented by the layout graph. Evaluation of the model shows that the SGTransformer method can produce structured and more diverse layouts although there are still challenges such as overlap between components. This research contributes to the efficiency of the advertising poster design process and provides practical solutions to the creation of advertising posters in the digital marketing industry. Code and other materials will be released at https://github.com/syahdeee/Layout-Generator.

2275 Enhancing delirium awareness among patients’ relatives: a quality improvement project in elderly care

Abstract Aim This Quality Improvement Project (QIP) addressed the pressing need for increased awareness of delirium among patients’ relatives. With a 26% rise in the elderly population in Cambridgeshire, surpassing the 18.6% national average, the project provides crucial information to enhance patients’ relatives access to information about delirium, a condition affecting up to 50% of older hospitalised patients. Method This prospective QIP was conducted across seven Cambridge University Hospital (CUH) geriatric wards. Qualitative surveys determined delirium awareness, understanding, interest and perception of information availability among patients’ relatives with delirium. Measurements included data on the views of online Trust delirium information. Interventions included designing a new eye-catching delirium information poster with a QR code linked to the Trust delirium information leaflet, strategically placing QR code-enabled posters in wards, awareness campaigns targeting healthcare professionals, liaison with the inpatient Dementia team, and targeted communication at Dementia and Delirium Champion training sessions for nursing and healthcare staff. Results Pre- and post-intervention questionnaires, involving 13 relatives visiting these wards, showed a 16%, 10% and 20% respective increase in respondents’ awareness, understanding, and interest in delirium. There was a 29% increase in awareness of location of delirium information post intervention. After the interventions, views of the Trust delirium website increased by 132%. Cycles of the QIP highlighted the importance of laminated posters to comply with infection control measures and the need liaison with ward teams about strategic poster placement. Conclusion this QIP successfully demonstrated the effectiveness of QR code enabled access to patient/relative information and that a multi-faceted approach is required to facilitate effective information provision. We also demonstrated these measures increased delirium awareness in relatives. Future recommendations include continuous monitoring of the availability of posters within clinical areas, content evaluation, and work with the Dementia team to roll this out to all wards with older people within Trust.

Assessing perceptions of flea and tick infestation risk in Southeast Queensland, Australia

Social cognitive models are useful for improving our understanding of the relationship between people's health beliefs and disease risks and have been widely employed in human medicine. In veterinary science, there is little research about owners' perceptions of pet health and parasitic infections/infestations, despite the risk of transmission of zoonotic pathogens by ectoparasites. This study investigated the effects of demographic factors on pet owner's perception of ectoparasite infestation risk and behaviours related to animal health in southeast Queensland, Australia employing the Health Belief Model (HBM). A total of 241 dog owners were surveyed in 2018. The electronic survey was generated through SurveyMonkey and distributed utilising UQ SVS and Royal Society for the Prevention of Cruelty to Animals (RSPCA) email networks, informative posters and brochures placed in selected veterinary clinics, and in-person visits to dog parks. The relationship between dog owners' perception of flea and tick infestation risk was assessed using an adaptation of the Health Belief Model, social cognitive framework for health protection. Most survey respondents were between 26 and 45 years of age (40%), identified themselves as females (83%) and had a bachelor's degree (43%). Our results indicate that female owners had greater level of health concern related to ectoparasites compared to males. Similarly, owners aged 18 to 25, with a grade 10 to 12 level of attained education and living predominately in a rural setting showed greater level of health concern related to ectoparasite infestations. The results also indicated that cat owners had on average, higher levels of health concern than dog owners. Our study indicates that the perceptions of pet owners towards perception of flea and tick infestation risk varies demographically, and owner education is an important predictor of prevention behaviours towards tick and flea infestation of pets.

Delirium is not dementia: Delirium Awareness Day-related event at the University Hospital in Krakow.

To present the two-day Delirium Awareness Day-related event held at the University Hospital, Kraków, Poland. Activities included a lecture, a multimedia presentation, meetings with healthcare workers at their respective wards, and distribution of information posters about delirium. Local news outlets were also engaged. We reached out to approximately 300 persons in the hospital itself and several thousand via TV and radio broadcasts. We prompted interdisciplinary discussions about delirium, especially concerning preventive measures. The most common questions were how to alleviate symptoms as soon as possible, with the expectation of straightforward solutions for the non-geriatrician staff. Patient distress and burden on caregivers were important topics brought-up in the discussions. We demonstrated that our educational initiative was feasible and well-accepted among medical staff. Local media helped in building public understanding of delirium. Education about the syndrome should be one of the key societal tasks of geriatricians.

Devising of a risk map on the management of high risk alert medication in a high level university hospital

ObjectiveTo classify hospital units into three risk levels in order to define and prioritise improvement and training measures in each of them. MethodThe risk map was developed in two phases: First phase involved the setting up of a multidisciplinary team, a bibliographic search, the identification of medications and of the criteria to design the map: (1) Location: number of high-alert medications; (2) Staff turnover: the units were classified in low turnover units = 1, medium turnover units = 2 and high turnover units = 3 according to data provided by the human resource department; (3) Frequency: quotient between the number of high alert medicactions in each unit and the total of medications used, and (4) Severity: voluntary survey of professionals. An accumulated risk of severity of each unit was calculated: Σ (severity of the drug x number of its units). The Neperian logarithm was applied to this value to reduce the variability of the values. Thus a risk probability index was established = staff turnover x frecuency x Neperian logarithm of severity. In a Los artículos publicados en esta revista se distribuyen con la licencie Articles published in this journal are licensed with a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. http://creativecommons.Org/licenses/by-nc-sa/4.0/ La revista Farmacia no cobra tasas por el envío de trabajos, ni tampoco por la publicación de sus artículos. second phase, the units were classified into three groups and the risk map of high-alert medication was elaborated in the hospital. In it, the units that had a risk probability index higher than 2.9 were classified as high risk units, those that had between 1–2.9 as intermediate risk units and those that had less than 1 as low risk units. According to the risk probability index, improvement measures were defined and priorities were set for each of them. ResultsA total 447 high-risk medications corresponding to 227 active ingredients were identified during the study period. The units showing a higher risk were: Intensive Care Medicine (10.51), Reanimation (4.01), and Palliative Care (3.90). Improvement actions (informative poster, visual identification, alerts, training and double checks) were defined and prioritised in accordance with the risk probability index. ConclusionsKnowing the degree of risk of hospitalization units in the management of high-alert medications allows for the implementation of improvement plans in relation to the degree of vulnerability detected.

Active recreational and silvicultural co-use of forested areas: an innovative forest management study

Abstract Issue Forests are crucial in the sustainability transition to a biobased modern society. However, forests may also be recreational sites, and positively affect human health and well-being. Modern silvicultural harvesting practices alters the landscape overnight, and hence may affect the recreational and public health promoting use of it. Description of the problem Municipalities, as owners of urban forest areas, may actively support inhabitants’ recreational use of near-by forested areas by 1) allocate resources to local voluntary organizations who facilitate for recreational users and 2) actively facilitate for continuous recreational use while practicing modern silviculture. In 2020-2022, an innovative integrative forest management approach was tested in a municipality in mid-Norway. This study explores how the local forests are used for recreational purposes, and how potential conflicts in land use can be mitigated or prevented. Results The forest areas are mostly used for health-promoting activities like exercise, walking, general recreation, and seasonal harvesting of wild berries and mushrooms. Half of the users get to the forest by foot or bicycle. Easy access, closeness to home, free parking arrangements and access to maps of the areas is important to users. Most users were well-informed about local forest-based businesses and carbon sequestration in wood and held that forests should be harvested and regenerated. They showed a high tolerance for forestry if the footpaths were cleared immediately. However, three out of four users want to be informed before harvesting. A small share of users wants educational posters about forest ecosystems. Lessons A pre-existing low conflict level between modern forestry and recreational forest use may be maintained by quite simple and modest means. In this municipality information posters were placed by the footpaths and an arena for discussions, information and co-creation of recreational facilitation was established in 2022. Key messages • Near-urban forests are frequently used for exercise and recreational activities, especially if easily accessible. • Harmonious co-use of forest areas, even in times of timber harvesting, is supported by rapidly recovering the footpaths and by notifying inhabitants in advance.

366 Vitamin D3 Assessment and Supplementation in Elderly Hip Fracture Patients: A Closed Loop Quality Improvement Project

Abstract Aim to improve the assessment and supplementation of vitamin D3 in elderly hip fracture patients in a trauma unit. Method This is a single-centre quality improvement project utilising the PDSA cycle based in a trauma unit covering the black country within the West Midlands. Data was collected retrospectively using the National Hip Fracture Database and hospital electronic systems such as clinical web portal, ICE, GP records, edischarge and ePMA. Inclusion criteria consisted of patient age greater than 60 with a radiologically confirmed neck of femur fracture, treated operatively with an orthogeriatrics review within 72 hours of admission, and COVID-19 negative PCR. Pre-intervention data included 15 patients from July 2020. We assessed 3 parameters including pre-admission vitamin D3 supplementation, measurement of vitamin D3 during admission and vitamin D3 supplementation on discharge. Interventions placed in February 2021 comprised of a postoperative hip blood profile pathway on ICE and guidelines on how to order bloods were circulated with information posters. In addition, teaching sessions for doctors and nurses with twice weekly orthogeriatric reviews emphasising bone protection. Post-intervention data included 15 patients from April 2021. Results Improvement in vitamin D3 level assessment during admission; 20% to 93.3% however, decline in vitamin D3 supplement prescribed on discharge; 73.3% to 26.7%. Conclusions Interventions showed an improvement in quality of vitamin D3 assessment however, the decline in supplementation on discharge may be due to further planned intravenous bone protection bisphosphonate therapy and miscommunication due to ward doctors rotating every 4-6 months on how to appropriately assess and supplement vitamin D3 levels.

463 Adherence to Extended Venous Thromboembolism Prophylaxis for Post Operative Resection of Colorectal Malignancies

Abstract Aim Patients undergoing cancer resection abdominal surgery are at high risk of developing venous thrombo-embolism (VTE) in the post-operative period. To reduce this risk, these patients should be considered for extended pharmacological VTE prophylaxis for 28 days post-surgery as per NICE guidelines (NICE NG89). In our surgical department, we give all colorectal cancer resection patients 5000 units of Deltaparin for 28 days post resection unless it is contraindicated. We aimed to evaluate adherence to this guideline. Method This is a single-centre retrospective audit study. We included 100 colorectal cancer resection cases between 1st October 2021 and 28th February 2022 (n = 100). Retrospective data was collected including the type of procedure, histology and whether post-operative Deltaparin was prescribed for 28 days. All consecutive colorectal cancer resections were included in the study. The data was collected from the patient electronic records, electronic prescribing system and the electronic discharge summaries. Results The most common operation was anterior resection of the rectum (42%) followed by right hemicolectomy (40%). The Adherence to the NICE guidelines for extended VTE prophylaxis was 87%. Conclusions The adherence to the NICE guidelines in our department falls below the national target of 90% adherence. To improve the compliance, we will carry out staff education on appropriate anticoagulation prescribing and also display informative posters in the surgical wards to increase the awareness. We will aim to re-audit the adherence to the guidelines after implementing these measures.

613 The Use of an Online Sepsis Screening Tool to Improve the Initial Management of Sepsis

Abstract Aim The aim of the project was to improve the adherence to sepsis management guidelines in Trauma and Orthopaedic patients through the use of an online Sepsis Screening Tool (SST). This was created to increase recognition of the early signs of sepsis to guide time critical interventions thus improving patient care. Method A retrospective audit of adult Trauma and Orthopaedic inpatients with a NEWS2 score of over 5, or 3 in one parameter, or a new suspected infection within a seven-day period was conducted in July 2020, March 2021 and August 2021 for each audit cycle respectively. We then assessed whether the SST and time critical interventions had been completed. Results After the initial audit in July 2020 showed the use of the SST and achievement of time critical interventions was poor, we introduced several interventions including information posters, and sepsis teaching for junior doctors. Further interventions were implemented after repeat audit cycles, including the incorporation of the SST within daily nursing safety huddles. By August 2021 the use of the SST had increased from 10% to 54%. This was associated with improved adherence to the sepsis management guidelines including correct observation frequency and medical review within 1 hour. Communication of a sepsis diagnosis to patients and family members also improved. Conclusions The completion of the SST increased adherence to sepsis management guidelines in our patients. We therefore recommend the use of Sepsis Screening Tools to identify patients at risk of sepsis and to improve their initial management.

ThTP4.9 Adherence to extended venous thrombo-embolism prophylaxis for post operative resection of colorectal malignancies

Abstract Aim Patients undergoing cancer resection abdominal surgery are at high risk of developing venous thrombo-embolism (VTE) in the post-operative period. To reduce this risk, these patients should be considered for extended pharmacological VTE prophylaxis for 28 days post-surgery as per NICE guidelines (NICE NG89). In our surgical department, we give all colorectal cancer resection patients 5000 units of Deltaparin for 28 days post resection unless it is contraindicated. We aimed to evaluate adherence to this guideline. Method This is a single-centre retrospective audit study. We included 100 colorectal cancer resection cases between 1st October 2021 and 28th February 2022 (n=100). Retrospective data was collected including the type of procedure, histology and whether post-operative Deltaparin was prescribed for 28 days. All consecutive colorectal cancer resections were included in the study. The data was collected from the patient electronic records, electronic prescribing system and the electronic discharge summaries. Results The most common operation was anterior resection of the rectum (42%) followed by right hemicolectomy (40%). The Adherence to the NICE guidelines for extended VTE prophylaxis was 87%. Conclusion The adherence to the NICE guidelines in our department falls below the national target of 90% adherence. To improve the compliance, we will carry out staff education on appropriate anticoagulation prescribing and also display informative posters in the surgical wards to increase the awareness. We will aim to re-audit the adherence to the guidelines after implementing these measures.

Military Propaganda of the White Movement by Means of Information Posters in the Russian Civil War

Military Propaganda of the White Movement by Means of Information Posters in the Russian Civil War

Combating Disinformation or Reinforcing Cognitive Bias: Effect of Weibo Poster’s Location Disclosure

This study conducted a controlled experiment to examine the impact of posters’ IP disclosure on the perceptions of Weibo users with different habits and information preferences and explore whether such disclosure facilitates the fight against disinformation or deepens cognitive biases. Results showed that the IP location of the information poster does influence users’ judgments of the authenticity of the information and that the consistency between users’ long-term residence and poster IP is not important for users to make judgments about the credibility of information. The high level of usage of Weibo also has no effect on users’ judgment of the credibility of the information, and this may be related to the small difference in college students’ overall use of Weibo. The results also showed that users’ perceptions of information’s accuracy, logical coherence, absence of bias, alignment with their own views, consistency with the majority opinion, and trustworthiness of its source are all statistically positively correlated with the overall credibility of information.

Kesalahan Berbahasa Tataran Semantik Dalam Unggahan Akun Instragram

There are a lot of language errors on social media, especially Instagram. One of the language errors that are also often found is language errors in semantics. This study aims to find out the language errors at the semantic level contained in Instagram information posters uploaded by @infobandungbarat. @infobandungbarat is the place to provide information throughout West Bandung district with slogan info in the area. The research method used in this study is a descriptive qualitative method with the final result in the form of a narrative. Data collection techniques in this study consisted of: 1) reading techniques, 2) note-taking techniques, and 3) documentation techniques. Data validation in research uses validity and triangulation of data sources. So from the results of this study it can be concluded that there are ten data obtained and analyzed. Errors contained in the data consist of word errors, word shortages, or inappropriate word placement, causing semantic language errors. The results of the analysis show that: 1) there are 5 data placement errors, 2) there are 4 word errors in the missing data, and 3) there are 1 data word errors.
 
 

An Augmented Reality Technology to Provide Demonstrative Inhaler Technique Education for Patients With Asthma: Interview Study Among Patients, Health Professionals, and Key Community Stakeholders.

Many people with asthma use incorrect inhaler technique, resulting in suboptimal disease management and increased health service use. Novel ways of delivering appropriate instructions are needed. This study explored stakeholder perspectives on the potential use of augmented reality (AR) technology to improve asthma inhaler technique education. On the basis of existing evidence and resources, an information poster displaying the images of 22 asthma inhaler devices was developed. Using AR technology via a free smartphone app, the poster launched video demonstrations of correct inhaler technique for each device. In total, 21 semistructured, one-on-one interviews with health professionals, people with asthma, and key community stakeholders were conducted, and data were analyzed thematically using the Triandis model of interpersonal behavior. A total of 21 participants were recruited into the study, and data saturation was achieved. People with asthma were confident with inhaler technique (mean score 9.17, SD 1.33, out of 10). However, health professionals and key community stakeholders identified that this perception was misguided (mean 7.25, SD 1.39, and mean 4.5, SD 0.71, for health professionals and key community stakeholders, respectively) and facilitates persistent incorrect inhaler use and suboptimal disease management. Delivering inhaler technique education using AR was favored by all participants (21/21, 100%), particularly around ease of use, with the ability to visually display inhaler techniques for each device. There was a strongly held belief that the technology has the capacity for improving inhaler technique across all participant groups (mean 9.25, SD 0.89, for participants; mean 9.83, SD 0.41, for health professionals; and mean 9.5, SD 0.71, for key community stakeholders). However, all participants (21/21, 100%) identified some barriers, particularly regarding access and appropriateness of AR for older people. AR technology may be a novel means to address poor inhaler technique among certain cohorts of patients with asthma and serve as a prompt for health professionals to initiate review of inhaler devices. A randomized controlled trial design is needed to evaluate the efficacy of this technology for use in the clinical care setting.

Understanding COVID: Collaborative Government Campaign for Citizen Digital Health Literacy in the COVID-19 Pandemic

The strategy "Understanding COVID" was a Public Health campaign designed in 2020 and launched in 2021 in Asturias-Spain to provide reliable and comprehensive information oriented to vulnerable populations. The campaign involved groups considered socially vulnerable and/or highly exposed to COVID-19 infection: shopkeepers and hoteliers, worship and religious event participants, school children and their families, and scattered rural populations exposed to the digital divide. The purpose of this article was to describe the design of the "Understanding COVID" strategy and the evaluation of the implementation process. The strategy included the design and use of several educational resources and communication strategies, including some hundred online training sessions based on the published studies and adapted to the language and dissemination approaches, that reached 1056 people of different ages and target groups, an accessible website, an informative video channel, posters and other pedagogical actions in education centers. It required a great coordination effort involving different public and third-sector entities to provide the intended pandemic protection and prevention information at that difficult time. A communication strategy was implemented to achieve different goals: reaching a diverse population and adapting the published studies to different ages and groups, focusing on making it comprehensible and accessible for them. In conclusion, given there is a common and sufficiently important goal, it is possible to achieve effective collaboration between different governmental bodies to develop a coordinated strategy to reach the most vulnerable populations while taking into consideration their different interests and needs.

Efectividad de una intervención hospitalaria para disminuir interrupciones durante la preparación y administración de medicación

Objective: to assess the effectiveness of the warning vest upon the reduction of interruptions during the medication preparation and administration rounds in the hospital setting, and to collect the experiences of Nursing professionals regarding this. Method: a quasi-experimental pre-and-post intervention study without control arm. The intervention consisted in giving information to the healthcare staff, patients and relatives, about the importance of not interrupting the medication process, as well as placing informative posters in the units, and implementing one-single-use vests to make this activity visible. Data were collected through direct observation pre-and-post intervention in four hospitalization units during medication rounds. Additionally, an opinion survey was conducted among participants. Results: in the pre-intervention period, 29 professionals were observed during 29.2 hours. There were 516 interruptions, one every 3.23 (SD:1.18) minutes. In the post-intervention period, 26 professionals were observed during 19 hours, and there were 210 interruptions, one every 5.26 (SD: 3.44) minutes as mean (p= 0.001). Of these professionals, 58.8% believed that this was not an effective measure for reducing interruptions, 61.8% thought that patients / relatives did not understand the measure well, and 11.5% suggested looking for measures which were more ecological. Conclusions: vests reduced the number of interruptions and increased the time between them, even though this continued being significant. Added on to the low satisfaction by professionals and its environmental impact, this entailed the rejection of warning vests as an effective measure for the reduction of interruptions during the medication process.